Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.00 / $5,824.00 / $24,596.00	Facility		$1,837.00	$5,824.00	$24,596.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $908.58 / $1,123.31 / $1,555.51	Facility	52	$908.58	$1,123.31	$1,555.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,826.00 / $12,447.00 / $58,963.00	Facility		$4,826.00	$12,447.00	$58,963.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,473.28 / $2,473.28 / $37,499.62	Facility		$2,473.28	$2,473.28	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,984.25 / $1,984.25 / $41,647.00	Facility		$1,984.25	$1,984.25	$41,647.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,569.13 / $1,569.13 / $1,569.13	Facility	52	$1,569.13	$1,569.13	$1,569.13
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $196.14 / $196.14 / $196.14	Facility	AS	$196.14	$196.14	$196.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,527.00 / $4,648.07	Facility		$332.00	$2,527.00	$4,648.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,632.91 / $1,632.91 / $1,632.91	Facility		$1,632.91	$1,632.91	$1,632.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,516.50 / $23,763.87 / $30,942.08	Facility		$10,516.50	$23,763.87	$30,942.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,984.25 / $41,647.00	Facility		$555.00	$1,984.25	$41,647.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $1,569.13 / $1,569.13 / $1,569.13	Facility	52	$1,569.13	$1,569.13	$1,569.13
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $196.14 / $196.14 / $196.14	Facility	AS	$196.14	$196.14	$196.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $11,550.00 / $32,002.00	Facility		$2,705.00	$11,550.00	$32,002.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,084.57 / $2,084.57 / $8,093.31	Facility		$2,084.57	$2,084.57	$8,093.31